AMY LYNN ANTONICH APNP
NPI 1922519339
Nurse Practitioner - Family in Saint Paul, MN

Active since October 12, 2017PECOS EnrolledAccepts Medicare Assignment
84.34/100
CMS Quality Rating
17 EXCHANGE ST W, STE 622, SAINT PAUL, MN 55102(651) 297-9141 Get Directions Write a Review

NPPES record last updated: April 22, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 22, 2026, Oct 25, 2019, Jul 24, 2019 and 1 more (4 updates tracked since 2017).

About Amy Lynn Antonich Apnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMY LYNN ANTONICH APNP (NPI 1922519339) is an individual family provider in Saint Paul, Minnesota, licensed in Wisconsin (8031-33) and active in the NPI registry since October 2017. She is enrolled in Medicare PECOS, is affiliated with M Health Fairview University Of Mn, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1922519339
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameAMY LYNN ANTONICHCredential: APNP
Location Address17 EXCHANGE ST W, STE 622Saint Paul, MN 55102-1225
Mailing Address6452 E Carondelet Dr Ste 100Tucson, AZ 85710-2262 · (715) 961-0232
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateOctober 12, 2017
Last NPPES UpdateApril 22, 20264 updates tracked since enumeration
NPPES CertifiedApril 22, 2026
NPI 1922519339 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses Licensed in WI · 8031-33 Licensed in AZ · 338007
Also ListedFamily MedicineTaxonomy 207Q00000X · License 8031-33 (WI)
17 EXCHANGE ST W, Saint Paul, MN 55102

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Amy Lynn Antonich Apnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7012275159
PECOS Enrollment IDI20190814000783
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

M Health Fairview University Of Mn

Acute Care Hospitals · Minneapolis, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240080
Location2450 Riverside AvenueMinneapolis, MN 55454 · Hennepin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55102 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

84.34/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality86.33
Promoting Interoperability100
Improvement Activities40
Cost61.49

Reported Quality Measures

Breast Cancer Screening
72%95 patients4/55-star benchmark: 93%
Cervical Cancer Screening
77%574 patients4/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
29%56 patients2/55-star benchmark: 87%
Documentation of Current Medications in the Medical Record
99%846 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
40%478 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
45%790 patients3/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 52% · 569 patients
Patients screened: 55% · 569 patients
17%23 patients1/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Specialist
17 EXCHANGE ST W, SUITE 804
SAINT PAUL, MN 55102
Internal Medicine
17 EXCHANGE ST W, SUITE 500
SAINT PAUL, MN 55102
Orthopaedic Surgery
17 EXCHANGE ST W, SUITE 307
SAINT PAUL, MN 55102
Physician Assistant (Surgical)
17 EXCHANGE ST W, SUITE 222
SAINT PAUL, MN 55102
Internal Medicine (Rheumatology)
17 EXCHANGE ST W, SUITE # 420
SAINT PAUL, MN 55102
Internal Medicine
17 EXCHANGE ST W, SUITE # 602
SAINT PAUL, MN 55102
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
17 EXCHANGE ST W, #222
SAINT PAUL, MN 55102
Internal Medicine
17 EXCHANGE ST W, SUITE 835
SAINT PAUL, MN 55102

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amy Antonich's NPI number?

The NPI number for Amy Antonich is 1922519339. It was assigned to this individual provider in the NPPES registry on October 12, 2017.

Where is Amy Antonich located?

Amy Antonich practices at 17 Exchange St W Ste 622, Saint Paul, MN 55102. The listed phone number is (651) 297-9141.

What is Amy Antonich's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Amy Antonich enrolled in Medicare?

Yes. Amy Antonich is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Amy Antonich accept?

Health plans from HealthPartners and Medica list Amy Antonich as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Amy Antonich affiliated with any hospitals?

According to CMS data, Amy Antonich is affiliated with M Health Fairview University Of Mn.

When was this NPI record last updated?

The NPPES record for Amy Antonich was last updated on April 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.